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Home My WebLink About44077D - Womble CAMA/ DREDGE & FILL 71r(5—. 3ENERAL PERMIT Previous permit# k.lew _Modification Complete Reissue Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC )/•' /Z a J ❑Rules attached. t Name 00W YNJ/3M►3 L L Project Location: County ef�1J \S' LN VI L�� Z (,.n/ Street Address/State Road/Lot#(s)_ IS to L N State N L ZIP Z L/!o4 )I ? O`) v1 L L r' L (G / 1) 3A_ S3`(( Fax#( ) Subdivision � r o r' ST P 5 edAgent �Ar-, L& ‘'rC',AS MALI k)t City J.1 'sAlL /3t=tam ti ZIP L3`j i CW XEW A ❑ES ❑PTS Phone# ( ) River Basin\iii-t. OEA ❑HHF ❑I ❑UBA ❑N/A Adj.Wtr. Body —fur — PWS: ❑FC: I r ..� ,\ na i yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body Project/Activity S j w L t Co k /5 P2 t it �i )7 . Z +� ►�� L y l Z (Scale: j '' _ ck)length (p)L 1 i(s) I L't 2_Q ier(s) ngth -fiber i/Riprap length _ distance offshore x distance offshore cannel )ic yards ip s�oatlift iIldozing 1 • • IZ • Length 1 S not sure yes no I >: not sure yes cum: n/a yes SZ yes • attached: yes 411y• , ____ ig permit may be required by: r'v / ?I-1 i,^ j r7 L I _See note on back regarding River Basin ri _ ,--7) ___________________„-- - \*.i.) <7.---... • ,_ , - ,. cv -, 0-1 -- J• 4 iDol,r i,i _ _, , ik 61 t )r 6A t-16-tioQ J ` DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ame of Individual Applying For Permit: ( 4. l,\o v.,to 14_ ddress of Property: 13 5 0 I J ; ((ay� (Lot or Street#, Street or Rad) N 4.r !1-. Taut.;; ( 3 eac 1,.� \. C , r y 4i ( OxL v (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individual pplying for this permit has described to me as shown on the attached drawing the development they re proposing. A description or drawing, with dimensions should be provided with this letter. ✓ - I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 vithin 10 days of receipt of this notice. No response is considered the same as no objection if 'ou have been notified by Certified Mail. • WAIVER SECTION understand.that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set )ck a minimum distance of 15' from my area of riparian access-unless waived by me. (If you vish to waive the setback,you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Sign Name Date �tibL - �� id/ /0 AAA DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM lame of Individual Applying For Permit: d 1 1 LAa,,,,,1.:,)4 Lddress of Property: I'i S 01 La,„, (Lot or Street#, Street or Road) • 11,,r+1, 1-4q,k).;1 s ()Ask...) (City and County) hereby certify that I own property adjacent to the above-referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they ire proposing. A description or drawing, with dimensions should be provided with this letter. I have no objections to this proposal. .f you have objections to what is being proposed, please write the Division of Coasta Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721f vithin 10 days of receipt of this notice. No response is considered the same as no objection i you have been notified by Certified Mail. • WAIVER SECTION [understand.that a pier,dock, mooring pilings,breakwater,boat house or boat lift must be sel )ck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yot wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. CA.nCy Sign Name a t0 0 • . HAMMER HEAD MARINE 606 PERU RD. SNEADS FERRY,NC 28460 66-1 PH.910-382-5346 BRAN DATE 23-e)6 OF b $ 1 ° 6 (, DOLLARS BB&T • NCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBan0T.com ,LV0 2? U 100000 10 2 2111 1:053 LO L 2 Li:0005 2941363 L 3116 • •